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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant

Elevate Health Taps Innovaccer to Redefine Its Care Management Model – PHM

by Jasmine Pennic 06/14/2021 Leave a Comment

Elevate Health Taps Innovaccer to Redefine Its Care Management Model - PHM

What You Should Know: - Elevate Health, a Washington-based nonprofit Accountable Community for Health (ACH) organization, has partnered with us to leverage the Innovaccer Health Cloud to strengthen care management and improve patient outcomes. It was challenged to integrate data from disparate sources and close gaps for hundreds of patient records. - With the Innovaccer Health Cloud, Elevate Health saved $6M in care costs and redefined its care management
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As CMS Delays CHART, Rural Providers Need to Take Value-Based Care into Their Own Hands

by Lynn Barr, MPH, Founder & Executive Chair of Caravan Health 06/02/2021 Leave a Comment

As CMS Delays CHART, Rural Providers Need to Take Value-Based Care into Their Own Hands

The answer to solving a healthcare crisis that exacerbates barriers to care among some of the most vulnerable patient populations in the country is staring us in the face. For rural hospitals straining under the weight of erratic patient volumes, sicker populations and lack of funding, the path forward is in value-based care. But providers can’t stand idly by waiting for the government to step in and help them make that change. They need to save themselves. That may sound like a big lift for
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Zing Health Acquires Medicare Advantage Plan Provider Lasso Healthcare

by Fred Pennic 05/19/2021 Leave a Comment

Zing Health Acquires Medicare Advantage Plan Provider Lasso Healthcare

What You Should Know: - Zing Health Enterprises, a physician-founded and led provider of Medicare Advantage health plans, has signed definitive documents to acquire Harrisburg, PA-based Lasso Healthcare Insurance Co. - Lasso Healthcare offers Medicare Advantage (MA) plans in 34 states and the District of Columbia. Its insurance offerings currently cover over 6,000 members. Lasso Healthcare offers a pioneering consumer-directed Medicare Advantage product, called a Medicare Medical Savings
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Patient Experience 2.0: A Shift in Priorities Defined by A Year of the Pandemic

by Tim Dybvig, SVP of Patient Engagement at Experity 05/12/2021 Leave a Comment

Patient Experience 2.0: A Shift in Priorities Defined by A Year of the Pandemic

The COVID-19 pandemic has upended the healthcare continuum within the past year, creating many roadblocks in the path towards high-quality care delivery. Amid these challenges, we have witnessed a significant shift in patient wants and needs, in addition to heightened demand for accessible, convenient clinical care. Notably, the desire for more care processes to be performed digitally has emerged as a priority among patients. According to a recent survey by Accenture about patient behaviors, 60%
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3 Strategies to Up-Level Medicare Advantage Enrollment Before it is Too Late

by Trey Keller, VP of Product Management & Aaron Fulner, Sr. Director at Edifecs 04/19/2021 Leave a Comment

3 Strategies to Up-Level Medicare Advantage Enrollment Before it is Too Late

With a new administration looking to reshape healthcare policy and additional special enrollment periods already underway, now is the time to ensure Medicare enrollment systems are ready for the unpredictability, and potential opportunities, ahead. While Medicare is the fastest growing segment of the healthcare industry, it is also highly competitive, expensive to operate in, and riddled with complexities and regulations to navigate. Health plans don’t have room to make a misstep when it comes
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Anthem Acquires Puerto Rico’s Largest Medicare Advantage Plan

by Fred Pennic 02/04/2021 Leave a Comment

Anthem Acquires Puerto Rico’s Largest Medicare Advantage Plan

What You Should Know: - Anthem, Inc. has entered into an agreement with InnovaCare Health, L.P., to acquire its Puerto Rico-based subsidiaries, including MMM Holdings, LLC (“MMM”) and its Medicare Advantage (MA) plan MMM Healthcare, LLC as well as affiliated companies and Medicaid plan.   - MMM is Puerto Rico’s largest MA plan and one of the fastest-growing vertically integrated healthcare organizations in the United States. - With more than 267,000 MA members and over 305,000
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Aledade Secures $100M for Value-Based Primary Care, Reaching $2.1B Valuation

by Jasmine Pennic 01/19/2021 Leave a Comment

Aledade ACO

What You Should Know: - Aledade raises $100 Million in Series D funding to help more primary care practices thrive in value-based care. - The new funding will power the growth of a nationwide network of more than one million patients by further expanding into Medicare Advantage Contracts. Aledade, a Bethesda, MD-based provider of value-based primary care, today announced it has closed a $100 million Series D funding round following a year of significant growth for its national
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Regence, MultiCare Health System to Deploy HL7 Da Vinci Member Attribution List for Value-Based Care Arrangements

by Jasmine Pennic 12/28/2020 Leave a Comment

What You Should Know: - Regence and MultiCare ink first-in-the-nation value-based care partnership to deliver improved health outcomes at lower costs. Health insurance provider Regence and MultiCare Health System, an independent accountable care organization (ACO) have partnered to deploy a first-in-the-nation value-based model that delivers better health outcomes to members at lower costs while simplifying administration for health care providers. Regence serves approximately 3.1
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White House Coronavrius Task Force Doubles Down on Rapid Testing Strategy

by Liz Essley Whyte, Reporter, Center for Public Integrity 11/16/2020 Leave a Comment

White House, IBM Partner to Fight COVID-19 Using Supercomputers

What You Should Know: - White house coronavirus task force doubles down on rapid testing strategy to fight the coronavirus as some states say they don’t have the supplies to comply with the federal government’s advice. - This article was originally published by the Center for Public Integrity, a nonprofit investigative news organization based in Washington, D.C. The White House coronavirus task force is doubling down on part of its strategy for halting the spread of the virus:
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WELL Health Integrates with Cerner’s Patient Portal to Simplify Patient Communication

by Jasmine Pennic 11/11/2020 Leave a Comment

WELL Health Integrates with Cerner’s Patient Portal to Simplify Patient Communication

What You Should Know: - Cerner is striking a deal with patient communication hub company WELL Health to change its patient communication technology for its provider customers. - Through Cerner’s HealtheLife, the new capabilities will pull from a myriad of systems and apps to help improve communication and reduce administrative time for clinicians and staff. Cerner Corporation, a global health care technology company, today announced new capabilities designed to take the interaction
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